在肺瘤切除过程中关节下动脉损伤
Yukio Umeda1, Kiyohiko Hagiwara1, Shinsuke Matsumoto1
1Cardiovascular and Thoracic Surgery, Gifu Prefectural General Medical Center, Gifu, JPN.
Cureus
|September 30, 2024
概括
肺部瘤切除期间的催化剂性关节下动脉损伤是罕见的,但灾难性的. 本案例报告详细介绍了这种损伤的成功手术修复,强调了迅速的静血和修复技术.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 手术并发症 手术并发症
背景情况:
- 关节底动脉的开放透损伤是胸部手术中非常罕见和严重的并发症.
- 在复杂的手术中,如肺部瘤切除,也可能发生阴性损伤.
研究的目的:
- 在肺瘤切除过程中报告一种罕见的阴性关节下动脉损伤病例.
- 描述这种灾难性的血管损伤的成功管理和修复.
主要方法:
- 一名57岁的患者在肺部瘤切除期间经过预先的弹丸切除术时遭受了阳性关节下动脉损伤.
- 伤害发生在粘合解离过程中,位于接部位附近.
- 立即管理包括通过线关闭实现初级血静,然后进行直接修复.
主要成果:
- 病人经历了缩血压的快速和严重下降,低于50mmHg.
- 关节下动脉损伤的成功手术修复得到了实现.
- 迅速的血液静止和直接的修复对患者的结果至关重要.
结论:
- 阳性关节下动脉损伤虽然很少见,但在胸部手术中具有显著的外科风险.
- 有效及时的手术修复,包括初级血液静止,对于管理这样的灾难性事件至关重要.
- 这一案例凸显了细致的外科技术和为血管紧急情况做好准备的重要性.
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